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Secure DentalOne
| Individual / Family Dental Insurance |
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Choice of $750 or $1,250 calendar year maximum per insured person |
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Individual and spouse through age 64 and their eligible dependents |
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Choose your own Dentist. |
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Benefits for preventive, basic and major services |
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Preventive only plan available |
Secure DentalOne offers you access to high quality, affordable dental coverage for your entire family.
: : Get a FREE instant quote and/or Apply online!
How are benefits covered?
Coverage is provided for preventive, basic and major dental services per insured person as follows:
First, you meet the $100.00 Lifetime Deductible per person.
Then DentalOne pays a percentage of covered expenses based on the Reasonable and Customary (R&C) fees for those covered charges on the ClasicOne and PremierOne plans. You can select your own dentist! The BasicOne plan is a PPO plan subject to Maximum allowable Charge (MAC).
| Services |
BasicOne* |
ClassicOne |
PremierOne |
| Waiting Periods: Length of time you must wait prior to the plan coverage taking effect. |
| Preventative |
0 |
0 |
0 |
| Diagnostic |
No Coverage |
0 |
0 |
| Basic |
No Coverage |
6 Months |
0 |
| Major |
No Coverage |
12 Months |
0 |
| Coinsurance: Percentage of covered expenses that the plan will pay. |
| Preventative |
80% |
80% |
100% |
| Diagnostic |
No Coverage |
80% |
100% |
| Basic |
No Coverage |
50% |
25/50/75%** |
| Major |
No Coverage |
50% |
10/20/40%** |
| Office Co-pay |
No Coverage |
No Coverage |
$10 |
| Deductible: |
N/A |
$100 lifetime applies to all services |
$100 lifetime applies to all services |
| Calendar Year Maximum (Per Person) |
N/A |
$750 |
$1,250 |
| Sample Premium: Male 32 / Female 32 / 2 Children ZIP Code 16137 |
Monthly Premium
Quarterly Premium
BiAnnual Premium
Annual Premium
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$25.85
$77.55
$155.10
$310.20 |
$72.25
$216.75
$433.50
$867.00 |
$86.58
$259.74
$519.48
$1,038.96 |
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Notes:
*BasicOne option subject to PPO MAC pricing
**Year 1/Year 2/Year 3 |
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What Dental Services are Covered?
Preventive Care
- Routine oral exams - limited to 2 per calendar year.
- Prophylaxis (the cleaning and scaling of teeth) - limited to 2 per calendar year
- Topical application of fluoride - for dependent children under age 19; limited to 1 per calendar year (not applicable in all states).
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Diagnostic Care***
- Intra-Oral Occlusal Film
- Bitewing X-rays (up to a set of 4) - limited to 1 per calendar year
- Full mouth X-rays (Panoramic film or Full series) - no less than 36 months apart
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Basic Care***
- Simple extraction
- Pin retention - per tooth, in addition to restorations
- Fillings (restorations) - Amalgam restorations, Composite restorations -- limited to anterior teeth and bicuspids, Sedative fillings.
- Antibiotic injections administered by a Dentist
- Maintenance Prosthodontics - Denture repairs/adjustments, Denture Rebase -- no less than 24 months apart, Denture Reline -- no less than 24 months apart
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Major Care***
- Endodontic treatment
- Periodontic services
- Inlays, onlays and crowns
- Prosthetic services - dentures or bridges
- Oral surgery
Note:***Applies only to ClassicOne and PremierOne plans.
: : Get a FREE instant quote and/or Apply online!
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Last updated on: 11/14/2008
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